EasyRCM: The Fertility Billing Company Built Exclusively for IVF Clinics
Most billing companies treat fertility as one specialty among dozens. EasyRCM was built from the ground up to serve one specialty only — fertility and reproductive medicine. That focus means AAPC-certified coders who work exclusively in ART billing, deep expertise in fertility benefit managers, and a 99% first-pass clean claim rate that generalist firms cannot match.
- 99%
- First-pass clean claim rate
- 50+
- Fertility practices served
- 100%
- Fertility-only focus
- AAPC
- Certified fertility coders
What to Look for in a Fertility Billing Company
Not every billing company that claims fertility experience has the depth to manage IVF claim complexity. These five criteria separate the companies that will grow your revenue from those that will cost you claim performance.
Fertility-only vs. multi-specialty
A fertility billing company that splits attention across dozens of specialties will not have the depth to manage IVF claim complexity. Fertility billing uses distinct CPT families (58xxx surgical, 89xxx embryology, 81xxx genetics), cycle-based prior auth, fertility benefit managers, and lifetime benefit maximums that generalist billers encounter only occasionally. Deep pattern recognition on payer-specific denial triggers only develops through volume — and volume only comes from specialization.
AAPC-certified coding team
Fertility coding errors are not just clerical mistakes — they produce denials, underpayments, and compliance risk. Look for a company whose coders hold AAPC certifications (CPC, CIRCC) and whose auditing process reviews claims before submission, not after a denial arrives. The difference between a certified fertility coder and a general biller on an IVF claim is often a 10–20% difference in first-pass acceptance.
Fertility benefit manager expertise
Progyny, WINFertility, Maven Clinic, Sunfish, and Kindbody administer fertility benefits separately from primary health plans. Claims submitted to the wrong entity get voided — and most FBMs have timely-filing windows as short as 90 days. A fertility billing company must identify FBM enrollment during eligibility verification and route every claim correctly from day one.
US-based team and real-time payer access
IVF prior authorizations are time-sensitive. A cycle delayed by an authorization hold that goes unresolved for 48 hours because of a 10-hour time zone gap has real clinical and financial consequences. US-based billing teams can call payers during business hours, attend peer-to-peer reviews, and escalate urgent holds in the same time zone as your clinical staff.
Pricing model — FTE vs. percentage of collections
Percentage-based billing (typically 4–8% of collections) becomes expensive fast. A clinic collecting $2M annually pays $80K–$160K per year in billing fees on that model. FTE-based pricing — where you pay for the billing resources your practice needs, not a cut of every dollar collected — scales more predictably and more favorably as your revenue grows.
Fertility Billing Company vs. General Medical Billing
Here is how a dedicated fertility billing company like EasyRCM compares to a generalist billing firm on the metrics that directly affect your revenue.
| Feature | EasyRCM | Generic Billing Company |
|---|---|---|
| Specialty Focus | ✅Fertility & Reproductive Medicine only | ⚠️Multiple specialties |
| Coder Certification | ✅AAPC-certified fertility coders | ⚠️General billing staff |
| First-Pass Clean Claim Rate | ✅99% | ⚠️85–92% (industry average) |
| Fertility Benefit Manager Routing | ✅Progyny, Maven, WINFertility, Sunfish, Kindbody | ⚠️Often requires manual correction |
| Team Location | ✅US-based | ⚠️Frequently offshore |
| Dedicated Account Manager | ✅Yes — one contact per client | ⚠️Shared support queue |
| Pricing Model | ✅FTE-based flat rate | ⚠️% of collections (4–8%) |
| Fertility EHR Support | ✅eIVF, IMS, Artisan, OvationEMR + major EHRs | ⚠️Limited to general EHRs |
| Free Revenue Cycle Audit | ✅Yes | ⚠️Rarely offered |
See the full ranked comparison → Best Fertility Billing Companies in 2026
What EasyRCM Does as Your Fertility Billing Company
We handle the full revenue cycle for fertility clinics — from pre-cycle eligibility through denial resolution — so your clinical team can focus on patients.
Eligibility & Benefits Verification
We verify active fertility coverage, confirm FBM enrollment, and document remaining lifetime maximums before every cycle — so financial surprises are caught before they become denials.
Learn morePrior Authorization
We submit auth requests with supporting clinical documentation and track every pending authorization daily. Urgent holds get same-day follow-up by US-based staff during payer business hours.
Learn moreFertility Medical Billing & Coding
AAPC-certified coders assign CPT, ICD-10, and HCPCS codes for IVF, IUI, FET, ICSI, PGT, donor egg, egg freezing, and surrogacy. Every claim is reviewed for modifier accuracy and payer-specific rules before submission.
Learn moreDenial Management & A/R Recovery
Every denial is categorized by root cause. Correctable denials are reworked within 5 business days. Clinical denials are escalated with supporting documentation. A/R aging is reviewed weekly to prevent timely-filing loss.
Learn morePatient Billing & Financial Counseling Support
We handle patient statements, payment plans, and coordination of benefits so your front desk can focus on patient care — not billing disputes.
Learn moreWhy Fertility Billing Needs a Specialist — Not a Generalist
IVF billing is not a variation of general medical billing. It is a distinct discipline with its own CPT code families, its own payer ecosystem, and its own regulatory landscape. Errors at any point in the cycle — eligibility, coding, authorization, or submission — produce denials that can take months to resolve or revenue that is never recovered.
EasyRCM was built specifically for this complexity. Every coder, every workflow, and every payer rule in our system is optimized for fertility and reproductive medicine — not adapted from a general billing framework.
ART-specific CPT codes: 58xxx, 89xxx, 81xxx, S-codes
Fertility benefit manager routing — Progyny, Maven, WINFertility
State mandate compliance — IVF coverage laws in 21 states
Cycle-based authorization with payer-specific submission windows
Donor, surrogacy, and reciprocal IVF billing
EasyRCM Company Profile
- Specialty
- Fertility & Reproductive Medicine Only
- Team Location
- United States
- Coder Certification
- AAPC-Certified (CPC, CIRCC)
- EHR Compatibility
- eIVF, IMS, Artisan, Epic, eCW + 10 more
- Pricing Model
- FTE-Based (no % of collections)
- First-Pass Rate
- 99% clean claim rate
- Free Audit
- Yes — before you commit
Frequently Asked Questions About Fertility Billing Companies
What is a fertility billing company?
A fertility billing company is a medical billing and revenue cycle management firm that specializes in fertility and reproductive medicine. Unlike general billing companies, a fertility-focused firm employs coders who work exclusively with ART-specific CPT codes (IVF, IUI, FET, ICSI, PGT), understands fertility benefit manager workflows, navigates state mandate compliance, and manages the unique prior authorization requirements that payers apply to fertility procedures.
Why does a fertility clinic need a specialized billing company?
Fertility billing involves complexity that generalist billers routinely miss: ART-specific CPT code families, fertility benefit managers (Progyny, Maven, WINFertility) that require separate claim routing, cycle-based authorization workflows, lifetime benefit maximums, and state mandate navigation. Missing any of these produces denials, underpayments, or timely-filing losses. A fertility-only billing company builds deep pattern recognition on these nuances through high claim volume in the specialty.
How much does a fertility billing company cost?
Most fertility billing companies charge either a percentage of collections (typically 4–8%) or an FTE-based flat monthly rate. At $2M in annual collections, a 5% rate means $100K per year in billing fees. EasyRCM uses FTE-based pricing — you pay for the billing resources your practice needs, not a percentage of every dollar we help you collect. We offer a free revenue cycle audit before you commit so you can see exactly where revenue is leaking.
What fertility EHR systems do you work with?
EasyRCM works within your existing system. Fertility-specific platforms: eIVF, IMS (Meditab), Artisan, Artworks, OvationEMR, and Softwareworks. General EHRs: eClinicalWorks, Epic, Athenahealth, Kareo, AdvancedMD, NextGen, Modernizing Medicine, DrChrono, Practice Fusion, and Office Ally.
How does EasyRCM handle fertility benefit managers like Progyny and Maven?
We identify FBM enrollment during eligibility verification before the cycle begins. Claims are routed to the correct entity — Progyny, WINFertility, Maven Clinic, Sunfish, or Kindbody — from the start. This prevents voided claims from billing the wrong payer, which is one of the most common fertility billing errors at general billing companies.
How long does it take to switch to a new fertility billing company?
Onboarding with EasyRCM takes 2–4 weeks. We handle EHR access setup, payer credentialing review, fee schedule alignment, and team introductions. We run alongside your existing process during the transition so there is no gap in billing and no disruption to cash flow.
See What a Fertility-Only Billing Company Can Do for Your Practice
Our free revenue cycle audit reviews your denial rates, coding accuracy, and A/R aging — and shows you exactly where revenue is leaking. No commitment required.